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How Do I Know if It’s COVID-19, a Cold, the Flu or RSV?

Published on Nov 27, 2023 | 1:23 PM

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When it comes to respiratory illnesses like the common cold, flu, COVID-19, and RSV, it’s easy to confuse their symptoms since they often overlap. Each illness shares similar signs, such as a runny nose, cough, and fatigue, making it challenging to distinguish between them without testing.

However, these illnesses are caused by different viruses and vary in severity, with certain symptoms being more prevalent in one illness over another. Understanding the differences in symptoms, causes, and peak seasons for each can help you manage these infections more effectively.

Common Cold vs Flu vs Covid vs RSV Symptoms

When looking at the symptoms alone, it's not surprising why people get Covid-19, the common cold, RSV, and the flu confused. Each shares similar symptoms, with some cases mirroring each other.

While a doctor’s medical guidance is always best, this RSV vs covid vs flu vs cold chart is designed to help you better understand their symptomatic similarities and differences:

A table comparing Cold vs Flu vs Covid vs RSV Symptoms

What Are the Main Differences Between the Common Cold, Flu, COVID-19, and RSV?

The common cold, flu, COVID-19, and RSV are all respiratory illnesses but differ in severity, symptoms, and the populations they affect most.

Common cold’s symptoms are usually mild, characterized by a runny nose, sneezing, and a mild cough, and rarely leads to serious complications.1

Flu symptoms tend to be more severe, with sudden high fever, body aches, fatigue, and respiratory symptoms that can result in complications like pneumonia, especially in vulnerable groups.2

COVID-19 symptoms range from mild to severe, with hallmark signs like loss of taste or smell, shortness of breath, and prolonged fatigue, and it can lead to serious complications, including respiratory failure.3

RSV symptoms are more common in infants and older adults and can cause wheezing and breathing difficulties, with the potential to develop into serious respiratory issues such as bronchiolitis or pneumonia.4

Causes and Peak Season

Understanding the causes and peak seasons for the common cold, flu, COVID-19, and RSV can help you better manage and prevent these common respiratory illnesses.

Causes

Each illness is caused by a different virus but spreads in similar ways—primarily through respiratory droplets and contaminated surfaces.

  • Common Cold: Caused by rhinoviruses, which thrive in cooler, drier air. It spreads through sneezing, coughing, or touching contaminated surfaces.1
  • Flu (Influenza): Caused by influenza viruses (types A and B), flu spreads through respiratory droplets and can mutate frequently, requiring annual vaccinations.2
  • COVID-19: Caused by the SARS-CoV-2 virus, it spreads through respiratory droplets, airborne particles, and contact with contaminated surfaces.3
  • RSV: Caused by the respiratory syncytial virus, RSV primarily affects young children and older adults, spreading through droplets and surfaces, especially in colder months.4

Peak Season

Although these illnesses can occur year-round, they tend to peak during colder months, with slight variations in timing.

  • Common Cold: Most colds occur from late fall to early spring, with cases rising from September and peaking in the winter months of December through February.1
  • Flu (Influenza): Flu activity typically starts increasing in October, peaking between December and February, though significant cases can persist through May.2
  • COVID-19: COVID-19 surges are often observed in colder months, with indoor gatherings contributing to transmission. The exact timing varies based on community transmission and new variants.3
  • RSV: RSV peaks from late fall through winter, with the highest transmission typically occurring between November and March, particularly affecting children and older adults.4

Tips to Prevent the Common Cold, Flu, COVID-19, and RSV

Here are some tips to help prevent the common cold, flu, COVID-19, and RSV, especially during peak season. Following these practices can reduce the risk of spreading or catching these illnesses.

  1. Wash Hands Frequently
    Regularly wash your hands with soap and water for at least 20 seconds, especially after being in public or touching potentially contaminated surfaces.
  2. Use Hand Sanitizer
    When soap and water aren’t available, use hand sanitizer with at least 60% alcohol to kill germs.
  3. Avoid Close Contact
    Maintain a safe distance from individuals who are sick, and avoid close contact during peak seasons of illness.
  4. Disinfect Surfaces
    Regularly clean and disinfect frequently touched surfaces like doorknobs, phones, and countertops to reduce the chance of virus transmission.
  5. Wear Masks When Necessary
    In crowded indoor settings or during times of peak transmission, wearing a mask can help reduce the spread of respiratory droplets, especially for COVID-19.3
  6. Cover Coughs and Sneezes
    Always cover your mouth and nose with a tissue or elbow when coughing or sneezing to prevent spreading viruses.
  7. Stay Home When Sick
    If you feel unwell, avoid going to work, school, or public places to minimize the risk of spreading the illness to others.
  8. Get Vaccinated
    Stay up to date on flu and COVID-19 vaccinations, and get other vaccines as recommended to protect against severe illness.3
  9. Avoid Touching Your Face
    Minimize touching your eyes, nose, and mouth, as this can introduce viruses into your body from contaminated surfaces.
  10. Support Your Immune System
    Eat a balanced diet, stay hydrated, exercise regularly, and get adequate sleep to keep your immune system strong and help fight off infections.
tips-to-prevent-the-common-cold-flu-covid-19-and-rsv

FAQ About the Common Cold, Flu, COVID-19, and RSV

Does cold and flu medicine help with COVID-19?

Cold and flu medicine can help alleviate some symptoms of COVID-19, such as fever, cough, and congestion. However, these medications do not treat the virus itself. For COVID-19, it's important to follow the advice of a healthcare provider and consider antiviral treatments if prescribed, especially for more severe cases.

Can a cold or flu turn into COVID-19?

No, a cold or flu cannot "turn into" COVID-19 because they are caused by different viruses. However, it is possible to contract COVID-19 while recovering from a cold or flu if exposed to the virus. This is why it’s important to take preventative measures, such as vaccination and good hygiene, to reduce the risk of contracting any of these illnesses.

Can adults get RSV?

Yes, adults can get RSV, though it is most common in young children and older adults. RSV in adults typically causes mild cold-like symptoms, but it can be more severe in those with weakened immune systems or underlying health conditions, sometimes leading to complications like pneumonia or bronchitis.

When should I see a doctor for these illnesses?

For mild symptoms of the common cold, flu, COVID-19, or RSV, rest and home care are usually sufficient. However, you should seek medical attention if you experience difficulty breathing, persistent high fever, chest pain, confusion, or worsening symptoms. Infants, older adults, and individuals with underlying health conditions should seek care promptly if they suspect they have RSV, the flu, or COVID-19.

Can you have more than one of these illnesses at the same time?

Yes, it is possible to be infected with more than one virus at the same time, such as having both the flu and COVID-19 or RSV and a cold. Co-infections can complicate symptoms and may require more comprehensive medical care. If you suspect you have multiple infections, it's important to consult a healthcare provider for proper diagnosis and treatment.

How Call-On-Doc Can Help

At Call-On-Doc, we offer online urgent care services for COVID-19, upper respiratory infections, the common cold, and flu. We can provide relief for symptoms like nasal congestion, pain, sore throat, and coughing. Our telemedicine services are designed to provide fast, reliable care from the comfort of your home. We offer personalized treatment plans and medications to help you recover quickly.

Whether you're dealing with mild symptoms or seeking early intervention, our experienced medical providers are here to support your health. Get the care you need without the wait—get treatment today!

Sources:

  1. https://www.webmd.com/cold-and-flu/default.htm
  2. https://www.cdc.gov/flu/
  3. https://www.cdc.gov/covid/
  4. https://www.lung.org/lung-health-diseases/lung-disease-lookup/rsv
  5. https://www.cdc.gov/ncird/whats-new/covid-19-can-surge-throughout-the-year.html

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Wayne C. Hahne,

English graduate and Call-On-Doc’s medical resource guide, Wayne C. Hahne is an experienced and passionate medical education content expert. Through diligent research, provider interviews and utilizing the industry's leading resources for wellness information, it is Mr. Hahne’s personal mission to educate the general public on medical conditions with in-depth and easy-to-understand written guides.

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